*Company Name:


*Contact Name:


*Phone number:


*Email:


Date:


*Printer Model:


*Serial Number:


Software (21, 44, etc.):


Interface:


DPI:


Print width #1:


Print width #2:


Printer Vendor (company the printer was purchased from):

*DESCRIPTION OF OBSERVED PROBLEM:


Has this printer ever worked properly?
 
Has your computer been upgraded recently?


Has your ticketing system been upgraded recently?


Have you recently received new ticket stock?


Is the problem intermittent?


If you have other BOCA printers, are they working properly?
   

What is the serial number of the working printer(s)?: